52D2294294 CLIA NUMBER - LAKEVIEW HEALTH LLC

Laboratory Demographics

  • CLIA Code: 52D2294294
  • Facility Name: LAKEVIEW HEALTH LLC
  • Facility Address: 800 GOOLD STREET
    RACINE, WI
    ZIP 53402
  • Facility Phone: 262 674-7772
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. GLEN BORDAK
  • NPI Number: 1679254700
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2294294
LAB Type Community Clinic
Facility Name LAKEVIEW HEALTH LLC
Street 800 GOOLD STREET
City RACINE
State WI
ZIP 53402
Phone 262 674-7772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Community Clinic
Lab Director DR. GLEN BORDAK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025